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Rachel Bourgault

NPI 1386815066 · on the registry since 2008 · sole proprietor

Practice

Address
2186 Highway 14
Banner, WY 82832
Phone
(307) 737-2274

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2008-03-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming